Individual
CARMELY ELIZABETH CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2500 WILSHIRE BLVD STE 500, LOS ANGELES, CA 90057-4310
(213) 639-0299
Mailing address
10640 FRANLIE DR, SUNLAND, CA 91040-1711
(323) 541-7735
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
258787
CA
Other
Enumeration date
03/09/2013
Last updated
03/09/2013
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